Chapter 5: Cultural Diversity

The nurse has just attended a seminar on concepts of cultural diversity. Which statement made by the nurse would require further education? "Culture cannot be influenced, and you are born with your culture." "Culture can be seen in attitudes and institutions of certain populations." "Culture helps to define identity within specific groups of people." "Language is the primary way that people share their culture."

"Culture cannot be influenced, and you are born with your culture."

The unlicensed assistive personnel reports to the nurse that the client is refusing to eat the food on the meal tray. The nurse observes the client eating the food brought in by family members. How should the nurse respond? "I will need to get permission from your health care provider for you to eat the food your family brought in." "You can only eat the food that we serve you." "What type of food did your family prepare for you, and does it have special meaning?" "Do you understand that you are on a strict diet and any variation can cause you harm?"

"What type of food did your family prepare for you, and does it have special meaning?"

The nurse is caring for a client who is postoperative 3 days from coronary artery bypass graft. The client has a prescription to ambulate. What is the best action by the nurse? Allow the client to slowly ambulate independently. Instruct the family to assist the client with ambulation. Obtain a prescription for physical therapy consult to ambulate the client. Discuss with the client the need for assistance during ambulation.

Discuss with the client the need for assistance during ambulation.

The nurse is caring for a terminally ill client who immigrated from Mexico. Which nursing intervention regarding spiritual care is appropriate? Do nothing unless the client requests spiritual assistance. Inquire if the client desires the Sacrament of the Sick. Ask the client if a spiritual leader is desired. Call a Roman Catholic priest to visit the clien

The client's child learned the dominant language as a second language.

The nurse is using an interpreter to communicate with a client who speaks a different language. What would be the best way to choose an interpreter for this client? The interpreter should speak in a loud voice. The interpreter should understand the health care system. The interpreter should conduct the conversation quickly to avoid misinterpretation. The interpreter should always make direct eye contact.

The interpreter should understand the health care system.

Which nursing actions are appropriate when collecting a health history for a client whose primary language differs from the dominant language? Select all that apply. Have a bilingual nurse assist with the health history. Ask the client's adolescent child to answer questions. Request assistance from a certified interpreter. Speak in detailed sentences using exact medical terminology. Use the facility telephonic interpreting system.

Use the facility telephonic interpreting system. Have a bilingual nurse assist with the health history. Request assistance from a certified interpreter.

Nurses are socialized into the: diagnostic process. caring paradigm. healthcare culture. nursing specialties.

healthcare culture.

A client says to the nurse, "Why don't you wear a white cap like nurses do on the soap operas?" This is an ethnocentric statement based on the: media. genetics. past history. nursing personality.

media.

The nurse is caring for a client 4 days after total hip arthroplasty and notes the client has lost weight. The unlicensed assistive personnel reports the client's food intake has decreased. Which question will the nurse ask the client to determine if cultural causes are responsible for the weight loss? "Can you ask your family to bring you something you like?" "What type of food do you like to eat at home?" "Would you like to speak with a nutritionist?" "Is there something wrong with the food?"

"What type of food do you like to eat at home?"

When a home-bound client expresses the client's past-oriented ancestral heritage and family rituals, the nurse recognizes that the client is expressing: race. assimilation. subculture. ethnic identity.

ethnic identity.

A nurse who usually works on the surgical unit is asked to float to the oncology unit because of staffing needs. Which statement by the nurse indicates the possibility of the nurse experiencing culture shock? "I was expecting all the clients on the oncology unit to be depressed." "The way we do things on the surgical unit are so much better than the procedures of this unit." "Can someone please give me an orientation to this unit?" "I am very stressed now because I do not understand how things work on this unit."

"I am very stressed now because I do not understand how things work on this unit."